Robert Ty Costa
NPI #1639514102 in Ceres, California
Provider Information
- NPI Number
- 1639514102
- Entity Type
- Individual
- Name
- Robert Ty Costa
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- May 9, 2013
- Last Updated
- Mar 12, 2019
Practice Location
- Address
- 1904 RICHLAND AVE
- City
- Ceres
- State
- California
- ZIP Code
- 95307-4562
- Phone
- (209) 541-2121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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